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(To be filled up by the BIR)

DLN: PSOC: PSIC:


BIR Form No.
Republika ng Pilipinas Monthly Remittance Return
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas of Income Taxes Withheld
on Compensation
1601-C
September 2001 (ENCS)

Fill in all applicable spaces. Mark all appropriate boxes with an “X”.
1 For the Month 2 Amended Return? 3 No. of Sheets Attached 4 Any Taxes Withheld?
(MM / YYYY)
Yes No Yes No
Part I Background Information
5 TIN 6 RDO Code 7 Line of Business/
Occupation
8 Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals) 9 Telephone Number

10 Registered Address 11 Zip Code

12 Category of Withholding Agent 13 Are there payees availing of tax relief under Special law 14 A T C
or International Tax Treaty? WW 0 1 0
Private Government Yes No If yes, specify
Part II Computation of Tax
Particulars Amount of Compensation Tax Due
15
15 Total Amount of Compensation
16
16 Less: Non Taxable Compensation
17
17 Taxable Compensation
18
18 Tax Required to be Withheld
19
19 Add/Less: Adjustment (from Item 25 of Section A)
20
20 Tax Required to be Withheld for Remittance
21
21 Less: Tax Remitted in Return Previously Filed, if this is an amended return
22
22 Tax Still Due/(Overremittance)
23 Add: Penalties
Surcharge Interest Compromise
23A 23B 23C 23D

24
24 Total Amount Still Due/(Overremittance)
Section A Adjustment of Taxes Withheld on Compensation For Previous Months
Previous Month(s) Date Paid Bank Validation/ Bank Code
(1) (2) ROR No. (4)
(MM/YYYY) (MM/DD/YYYY) (3)

Section A (continuation)
Tax Paid (Excluding Penalties) Should Be Tax Due Adjustment (7)
for the Month for the Month From Current Year From Year - End Adjustment of the
(5) (6) (7a) Immediately Preceeding Year (7b)

25 Total (7a plus 7b) (To Item 19)


I declare, under the penalties of perjury, that this return has been made in good faith, verified by me, and to the best of my knowledge and belief,
is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
26 27
Signature over Printed Name of Taxpayer/ Title/Position of Signatory
Taxpayer Authorized Representative

T I N of Tax Agent (if applicable) Tax Agent Accreditation No.(if applicable)


Part III Details of Payment Stamp of Receiving
Drawee Bank/ Date Office and Date of
Particulars Agency Number MM DD YYYY Amount Receipt
28 Cash/Bank 28
Debit Memo
29 Check 29A 29B 29C 29D

30 Others 30A 30B 30C 30D

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
Republika ng Pilipinas Monthly Remittance Return
Ka gawaran ng Pananalapi
Kawanihan ng Rentas Internas of Income Taxes Withheld
BIR Form No.
eturn
held 1601
July 1999 (ENCS)

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